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NM7142: Critical Evaluation of the Literature: Intro to EIP

What's this guide all about?

This guide will help you learn to navigate the clinical information landscape. Check out the various tabs and sub-tabs! (Look for the menu arrow on top level tabs). Includes search tips, videos, types of resources/when to use them, organizing your research, and more.

Please don't hesitate to contact your friends, the library staff, if questions arise: library@bastyr.edu

The Clinical Jazz Trio...

The article linked below, Clinical jazz: harmonizing clinical experience and evidence-based medicine, uses a musical analogy to discuss evidence-informed practice.

Here are some questions to consider as you read it:

  • Does the jazz metaphor “work” in anticipating yourself as a naturopathic practitioner?
  • What is the role of information literacy in the "clinical jazz trio" (i.e. the evidence-informed practice model)?
  • Did this article alter your views of the role of research evidence in naturopathic medicine?

Based on image by R Evans, Northwestern Health Sciences University; in turn based on Shaughnessy, AF et al. (1998) Clinical jazz: harmonizing clinical experience and evidence-based medicine. J of Fam Prac; 47(6):425-428.


Evidence-informed practice & info literacy go hand in hand....

Steps in EIP Steps in Information Literacy

Beginning with the patient:

Ask: Carefully define your clinical question(s)
Acquire: Search for and assemble the evidence
Appraise: Evaluate and assess the evidence
Apply: Integrate the evidence with your clinical experience
and the patient’s values and preferences
Assess: Track patient outcomes, as well as the effectiveness/efficiency of the EIP process

 

Information literacy is knowing "when there is a need for information, [and] to be able to:

–identify (Ask),
–locate (Acquire),
–evaluate (Appraise), and
–effectively use (Apply)

   that information for the issue or problem at hand.”

Source: National Forum on Information Literacy

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Email: library@bastyr.edu
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Modeling clinical evidence....

Clinical evidence is often displayed as a hierarchy: study types designed to screen out bias in the top tiers, followed by RCTs and observational studies, with case reports, expert opinion, and animal/in vitro studies toward the bottom.

Several alternative models have been proposed to better reflect the complex uses of clinical research in patient care. This brief PowerPoint includes two examples of the pyramid model, then introduces an Evidence Circle, and an Evidence Funnel.

Video: Viva La Evidence

Viva La Evidence puts EBM history and key principles to a catchy song. Written and produced by James McCormack.

 

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